{SPACER}<a name="{ANCHOR}"></a>
<form action="{FORM_ACTION}" method="post">
<table class="std" width="95%">
<tr class="tblheader">
	<td valign="top">{TXT_CENS_COMMENT}</td>
</tr>
<tr>
	<td class="option_value">
	<textarea id="{TXT_CENS_MESSAGE}" name="formData[cens_message]" cols="50" rows="5" wrap="virtual" style="width:95%; height=80px">{CENS_MESSAGE}</textarea>
	</td>
</tr>
</table>
<p class="warning">{TXT_CENS}</p>	
<input class="submit" type="submit" name="confirm" value="{CONFIRM_BUTTON}" />&nbsp;&nbsp;
<input class="submit" type="submit" name="cancel" value="{CANCEL_BUTTON}" />
</form>
<br/>